| NPI | 1336536804 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL 9285703) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9285703) |
| Enumeration Date | 2015-04-22 |
| Last Update Date | 2020-10-15 |